American journal of surgery
-
Multicenter Study Comparative Study Observational Study
Resident involvement in minimally-invasive vs. open procedures.
The objective of this study was to evaluate the impact of resident involvement on surgical outcomes in laparoscopic compared to open procedures. ⋯ The results of this study suggest that resident participation has a similar impact on surgical outcomes during laparoscopic and open surgery, and is generally safe.
-
Multicenter Study Comparative Study
Surgeons' expertise during critical event in laparoscopic cholecystectomy: An expert-novice comparison using protocol analysis.
The purpose of this study was to examine differences in thought processes between novice and experienced surgeons when they were presented with a critical situation during laparoscopic cholecystectomy. ⋯ This study highlights the differences and similarities between surgeons with different levels of experience during a challenging intraoperative encounter. The domains of cognition and mental image as well as metacognition appear to be key elements of surgical expertise.
-
Observational Study
Association of intraoperative entrustment with clinical competency amongst general surgery residents.
Lack of transparency and meaningful assessment in surgical residency has led to inconsistent intraoperative entrustment and highly variable trainee competence at graduation. The relationship between faculty entrustment and resident entrustability on clinical competency remains unclear. We sought to evaluate the dynamic between entrustment/entrustability and clinical competency in general surgery residency. ⋯ OpTrust demonstrated a positive association between ACGME general surgery Milestones and OSATS scores. Overall, OpTrust may help optimize intraoperative faculty entrustment and resident entrustability, facilitating surgical trainee success during residency.